This application responds to PA-98-052, """"""""Mentored Patient- Oriented Research Career Development Award"""""""" (K23). The goal of the five-year training and research plan is to prepare the candidate to become an independently-funded investigator in the study of factors that facilitate and impede the efforts of individuals with severe mental illnesses to achieve major rehabilitation goals and to become full participants in mainstream community life. A longer-term goal is to prepare the candidate to serve as an effective bridge between mental health services researchers and public mental health policymakers. The training plan is interdisciplinary in focus, including course work, mentored tutorials, and research projects under intensive supervision by a multidisciplinary team of mentors. In Years 1- 2, he will visit field sites for exposure to assertive community treatment (ACT) programs that have integrated a broad spectrum of rehabilitative interventions. In Years 2-3, expertise in advanced quantitative and qualitative analytic methods will be gained through two research projects. Project number 1 will be a study of combined ACT and supported employment interventions at three sites. Project number 2 will be a study of an ACT program that is integrated with multiple rehabilitative interventions. In Years 4-5, the candidate will undertake Project number 3, a study of the """"""""capacity"""""""" of two South Carolina communities, one rural and one urban, to offer opportunities for full participation in mainstream community life. Capacity involves not only the degree of support for formal clinical and rehabilitative interventions, but also the manner in which local social, economic, and political conditions contribute to, or detract from, integration. Results from this study will constitute the basis of and justification for an NIMH R01 application to extend this line of inquiry. Additional training experiences are designed to teach the candidate to disseminate research findings to stakeholder groups, as well as methods by which to link science, service, and policy (e.g., participation in public-policy task forces). This application is also responsive to PA-99-073, """"""""Integrating Mental Health Services Research and Behavioral Science,"""""""" and the National Advisory Mental Health Council's Report, """"""""Bridging Science and Service,"""""""" which call for innovative, interdisciplinary services research into public mental health problems.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Mentored Patient-Oriented Research Career Development Award (K23)
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Application #
Study Section
Special Emphasis Panel (ZMH1-SRV-C (01))
Program Officer
Hohmann, Ann A
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Project End
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Budget End
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Fiscal Year
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Medical University of South Carolina
Schools of Medicine
United States
Zip Code
Gold, Paul B; Macias, Cathaleene; Rodican, Charles F (2016) Does Competitive Work Improve Quality of Life for Adults with Severe Mental Illness? Evidence from a Randomized Trial of Supported Employment. J Behav Health Serv Res 43:155-71
Gold, Paul B (2013) Quality of life and competitive work among adults with severe mental illness: moderating effects of family contact. Psychiatr Serv 64:1218-24
Gold, Paul B; Jones, Danson R; Macias, Cathaleene et al. (2012) A four-year retrospective study of Assertive Community Treatment: change to more frequent, briefer client contact. Bull Menninger Clin 76:314-28
Gold, Paul B; Macias, Cathaleene; Barreira, Paul J et al. (2010) Viability of using employment rates from randomized trials as benchmarks for supported employment program performance. Adm Policy Ment Health 37:427-32
Macias, Cathaleene; Gold, Paul B; Hargreaves, William A et al. (2009) Preference in random assignment: implications for the interpretation of randomized trials. Adm Policy Ment Health 36:331-42
Gold, Paul B; Meisler, Neil; Santos, Alberto B et al. (2006) Randomized trial of supported employment integrated with assertive community treatment for rural adults with severe mental illness. Schizophr Bull 32:378-95
Gold, Paul B; Glynn, Shirley M; Mueser, Kim T (2006) Challenges to implementing and sustaining comprehensive mental health service programs. Eval Health Prof 29:195-218
Gold, Paul B; Meisler, Neil; Duross, Deborah et al. (2004) Employment outcomes for hard-to-reach persons with chronic and severe substance use disorders receiving assertive community treatment. Subst Use Misuse 39:2425-89
Killeen, Therese K; Brady, Kathleen T; Gold, Paul B et al. (2004) Comparison of self-report versus agency records of service utilization in a community sample of individuals with alcohol use disorders. Drug Alcohol Depend 73:141-7
Gold, Paul B; Rubey, Robert N; Harvey, Richard T (2002) Naturalistic, self-assignment comparative trial of bupropion SR, a nicotine patch, or both for smoking cessation treatment in primary care. Am J Addict 11:315-31

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